This provider's $7.7M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 62% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $227.55 | $92.31 | 2.47x | $135.24 | $589.2K | 8.4K | 4.6K |
| 2015 | $214.35 | $83.34 | 2.57x | $131.01 | $630.7K | 8.9K | 4.9K |
| 2016 | $186.12 | $88.12 | 2.11x | $98.00 | $663.9K | 9.7K | 5.1K |
| 2017 | $209.14 | $90.04 | 2.32x | $119.10 | $754.1K | 10.9K | 5.7K |
| 2018 | $182.23 | $81.34 | 2.24x | $100.89 | $713.6K | 10.6K | 5.7K |
| 2019 | $216.35 | $96.77 | 2.24x | $119.58 | $758.5K | 10.2K | 5.9K |
| 2020 | $227.68 | $103.40 | 2.20x | $124.28 | $798.7K | 9.0K | 5.8K |
| 2021 | $239.04 | $108.44 | 2.20x | $130.60 | $871.2K | 9.2K | 5.8K |
| 2022 | $272.89 | $127.42 | 2.14x | $145.47 | $949.3K | 9.6K | 6.3K |
| 2023 | $263.16 | $108.18 | 2.43x | $154.98 | $951.9K | 10.5K | 6.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 6.2K | $2.8M | $451.11 | 2.42x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 13.6K | $1.3M | $98.05 | 1.95x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 3.5K | $629.3K | $181.98 | 3.30x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 2.6K | $473.3K | $181.19 | 2.21x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 6.2K | $372.2K | $59.69 | 3.96x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 3.5K | $228.5K | $66.20 | 2.27x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 1.5K | $226.6K | $155.49 | 2.57x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 13.3K | $192.9K | $14.53 | 4.45x |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec | 877 | $161.5K | $184.10 | 1.89x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 6.2K | $151.9K | $24.68 | 1.26x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 10.5K | $146.2K | $13.92 | 2.41x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 796 | $145.5K | $182.76 | 1.64x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.7K | $117.2K | $67.10 | 1.87x |
| 93299 | Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days | 549 | $116.6K | $212.34 | 1.41x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 659 | $90.1K | $136.71 | 1.99x |
| J2785 | Injection, regadenoson, 0.1 mg | 1.9K | $78.0K | $41.94 | 1.35x |
| 82947 | Blood glucose (sugar) level | 8.3K | $35.6K | $4.27 | 2.60x |
| 93298 | Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days | 1.2K | $30.0K | $24.05 | 4.16x |
| G0008 | Administration of influenza virus vaccine | 1.1K | $29.5K | $26.70 | 1.87x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 151 | $28.8K | $190.84 | 1.83x |
This provider submits charges 2.43 times higher than what Medicare actually pays.
A markup ratio of 2.43x means for every $100 Medicare pays, this provider initially charges $243. This is higher than the national average.
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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